Dudley Strategy for Tackling Health Inequalities 2010-15

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Actions for tobacco controlThe NST identified a number of priority areas for action and an action plan has beendeveloped to be included ensure that they will form part of the tobacco controlprogramme. The recommendations have been outlined in conjunction with currentlocal action and priorities:Strategic approach to Tobacco Control is best co-ordinated by an effectivemulti-agency partnership:- Continued strong senior level support and leadership for Tobacco Controlagenda- Review role of Tobacco Action Group (TAG)- TAG continued accountability to Dudley Community Partnership via theHealth and Wellbeing Partnership- Refresh the Tobacco Strategy and action plan in line with new NationalStrategy- Development of advocacy role of the Alliance around Second HandSmoke and Illicit tobaccoFurther develop an evidenced based and proactive approach to illicit tobacco- Plan local prioritiesThe PCT, Acute Trust, Local Authority and other partners should exploreways in which data can be collected and shared to improve local intelligenceon key areas e.g. smoking in pregnancy, illicit tobacco, under age salesIntention to commission Environmental Health to carry out additionalsmokefree compliance checks in routine and manual workplaces to includeillicit tobacco and stop smoking informationThere would be a benefit in developing a programme of ongoing testpurchasing to explore the issue of supply of tobacco to young peopleThe early adoption of Department of Health Stop Smoking in Secondary Caretoolkit provides an opportunity to ensure effective care pathways are in placefor smokers – this will impact on the key contributors to tackling healthinequalities.- This would also provide an opportunity to ensure a formally agreed carepathway for smoking in pregnancy to be used by all staff.The Department of Health Stop Smoking Interventions in Primary Care toolkitis rolled out to ensure strengthened infrastructure for quality briefinterventions.All tobacco control initiatives will require senior level support and agreementbetween Primary and Secondary Care organisations to ensure a seamlessquality service for clients.It will be beneficial to have Varenicline as a first line smoking cessationmedication.Actions for alcohol harm reductionThe national health inequalities team have identified four key actions that will impacton health inequalities and result in both short term and longer term health gainsthrough:15
Tackling underage/illegal alcohol consumption and encouraging the industryto promote responsible drinkingCombating crime related disorderRaising awareness of, and educating about, safe and sensible drinkingFacilitating identification of at risk individuals and enabling access to alcoholtreatment services which are consistent with national standardsIn addition there is a commitment to implement the high impact changes thatare known to impact on reducing premature mortalityActions to reduce cancer inequalities:The key priorities for impacting on cancer inequalities are:Promote healthier lifestylesRaise awareness of cancer signs and symptoms and increase the uptakeof screening programmesReduce cancer waits for all patientsEnhance quality and timeliness of informationProvide financial and psychological supportIMPLEMENTING THE HEALTH INEQUALITIES STRATEGYSuch a broad ranging strategy can only be achieved by a whole range of partnersworking together in a co-ordinated and planned way. The strategy brings togethermany individual action plans that are already being delivered through existing multiagencypartnerships.The progress on reducing health inequalities is currently overseen by the HealthImprovement Modernisation Management Team (HIMMT) which reports to theHealth and Wellbeing Board, which in turn reports to Dudley Community Partnership.Independent scrutiny of the strategy is done by the Health Overview and ScrutinyCommittee. It is likely that these structures will change in the future and a newlystructured Health and Wellbeing Board will take responsibility for monitoring healthimprovement plans and reducing health inequalities.There are important roles for all statutory agencies. Local Authority directorates,including Adult Social Care, Children‟s Services, Environmental Health and Housingwill take a lead role in delivery of the strategic aims and the Local Authority willensure the involvement of the new GP Commissioning Cluster in implementing thestrategy when its new public health role becomes functional. The prevention role ofthe Foundation Trust needs to be developed as they become the providers of somecommunity health services and the work on developing the role of the third sectorneeds to be advanced. As part of the Big Society vision the role of CommunityHealth Champions, Public Health Volunteers and Health Trainers will become moreprominent over time.The role for Community Engagement and consultation will remain an importantfeature in delivering this strategy and will influence the priorities and future direction16
Page 1 and 2: 2010FDudley Strategy forTackling He
Page 3 and 4: ENDORSEMENT OF THE 2010 - 2015HEALT
Page 5 and 6: CONTENTSFOREWORD………………
Page 7 and 8: Standardised Rate per 100,000 Popul
Page 9 and 10: There were three principles that un
Page 11 and 12: This work has been built on trustin
Page 13 and 14: ENSURE A HEALTHY STANDARD OF LIVING
Page 15: with, or at high risk of vascular d
Page 19 and 20: 2. VISION STATEMENTThe mission stat
Page 21 and 22: tackle health inequalities in the t
Page 23 and 24: These recommendations are addressed
Page 25 and 26: injustice and deprivation impact ne
Page 27 and 28: - Giving priority to pre and post-n
Page 29 and 30: Percentage of live and still births
Page 31 and 32: EYFS Median Scores by National Depr
Page 33 and 34: data which shows us locally what ac
Page 35 and 36: instability. Factors such as job se
Page 37 and 38: Proportion of population claiming J
Page 39 and 40: Data is available for those ALMPs f
Page 41 and 42: Labour market outcomes to date are
Page 43 and 44: achieved through transfer payments,
Page 45 and 46: % share of equivalised incomeA comp
Page 47 and 48: Figure 7 shows the income distribut
Page 49 and 50: Figure 9Proportion of the populatio
Page 51 and 52: Although temperature variations dur
Page 53 and 54: 5. LEADERSHIP AND PARTNERSHIPDudley
Page 55 and 56: A Community Renewal team which coor
Page 57 and 58: 6. COMMUNITY ENGAGEMENTCommunity En
Page 59 and 60: o DMBC sharing their community enga
Page 61 and 62: Transferring power to communitiesNI
Page 63 and 64: Standardised Rate per 100,000 Popul
Page 65 and 66: Secondary Prevention of CVDOptimum
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Ratio of obsevred vs. expected prev
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Performance variation cannot be exp
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Table 4: Range of performance gapDi
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Conclusions:The general conclusions
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7.2 ACUTE CARDIO-VASCULAR DISEASE (
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Standardised Rate per 100,000 Popul
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Timely ResponseApproximately 30% of
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IMD ScoreRevascularisation Ward Rat
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That an increase in access to diagn
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Establishing the level of health eq
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Timely ResponseTimely access to tre
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Continue implementation of current
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“reduce smoking during pregnancy
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Percentage who currently smokePerce
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1. Stop Smoking Service ProvisionDu
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Proportion of clients that have qui
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3. Communication and EducationDSSS
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The PCT, Acute Trust, Local Authori
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admissions. The following year Dudl
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Standardised Rate per 100,00 popula
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Netherton &WoodsideHalesowen NorthC
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women the Mosaic groups with signif
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numbers of alcohol related sexual o
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These include:Securing additional i
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The deprivation gap in invasive can
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Age standardised incidence rate rat
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One of the priorities of the Cancer
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Colorectal cancerProstate cancerThe
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and less radical treatment than you
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As more people than ever are surviv
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• Benchmarking of surgery aspirin
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There is a weak correlation between
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7.7 SEASONAL EXCESS DEATHSREDUCING
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Excess Winter Mortality Index (%)Me
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Brockmoor & PensnettSt JamesKingswi
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Percentage uptake of seasonal flu v
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Percentage uptake of seasonal flu v
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The group will establish terms of r
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Standardised Rate per 100,000 popul
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PercentagePercentageFigure 7aMechan
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PercentageFigure 8bMechanism of inj
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Key findings from analysis of morta
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Standardised rate per 100,000 popul
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PercentageFigure 17bMechanism of in
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Key findings from analysis of emerg
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Action plan updated in 2008 to rein
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the minimum standards set out by th
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Further analysis shows that for hyp
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8.2 SOCIAL CAREAdult Social CareSoc
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8.3 TRANSFORMING COMMUNITY SERVICES
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DCS has some key performance target
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8.4 DEVELOPING THE ROLE OF THE VOLU
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at the heart of action to address c
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CHC‟s are trained and supported t
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capacity and confidence of individu
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which it has never done before. The
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centres‟ outreach workers and Hea
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9.1 DUDLEY HEALTH INEQUALITIES HIGH
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RECOMMENDATION ACTIVITY OUTCOMES LE
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Dudley Community Partnership (2005)
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Great Britain. Department of Health
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NHS Dudley and Dudley Metropolitan
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APPENDIX 1 - PERFORMANCE INDICATORS
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Indicator Dudley England Least Most
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APPENDIX 2 - DELIVERY PLANS FOR PRI
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PRIORITY AREA: TOBACCO CONTROLRECOM
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All of these initiatives will requi
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Empower community members toraise a
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Develop an integrated alcoholtreatm
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Offender ManagementRECOMMENDATION A
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PRIORITY AREA: SEASONAL EXCESS DEAT
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APPENDIX 3 - HEALTH INEQUALITIES CH
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PRIORITY ACTIONENGAGEMENT- WORKFORC
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Dudley Strategy for Tackling Health Inequalities 2010-15

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